High milk intake linked with higher fractures and mortality, research suggests

Women who drank more than three glasses of milk a day had a higher risk of death than women who drank less than one glass of milk a day. Credit: © Africa Studio / Fotolia

A high milk intake in women and men is not accompanied by a lower risk of fracture and instead may be associated with a higher rate of death, suggests observational research published in The BMJ this week.

This may be explained by the high levels of lactose and galactose (types of sugar) in milk, that have been shown to increase oxidative stress and chronic inflammation in animal studies, say the researchers.

However, they point out that their study can only show an association and cannot prove cause and effect. They say the results "should be interpreted cautiously" and further studies are needed before any firm conclusions or dietary recommendations can be made.

A diet rich in milk products is promoted to reduce the likelihood of osteoporotic fractures, but previous research looking at the importance of milk for the prevention of fractures and the influence on mortality rates show conflicting results.

So a research team in Sweden, led by Professor Karl Michaëlsson, set out to examine whether high milk intake may increase oxidative stress, which, in turn, affects the risk of mortality and fracture.

Two large groups of 61,433 women (aged 39-74 years in 1987-1990) and 45,339 men (aged 45-79 years in 1997) in Sweden completed food frequency questionnaires for 96 common foods including milk, yoghurt and cheese.

Lifestyle information, weight and height were collated and factors such as education level and marital status were also taken into account. National registers were used to track fracture and mortality rates.

Women were tracked for an average of 20 years, during which time 15,541 died and 17,252 had a fracture, of whom 4,259 had a hip fracture.

In women, no reduction in fracture risk with higher milk consumption was observed. Furthermore, women who drank more than three glasses of milk a day (average 680 ml) had a higher risk of death than women who drank less than one glass of milk a day (average 60 ml).

Men were tracked for an average of 11 years, during which time 10,112 died and 5,066 had a fracture, with 1,166 hip fracture cases. Men also had a higher risk of death with higher milk consumption, although this was less pronounced than in women.

Further analysis showed a positive association between milk intake and biomarkers of oxidative stress and inflammation.

In contrast, a high intake of fermented milk products with a low lactose content (including yoghurt and cheese) was associated with reduced rates of mortality and fracture, particularly in women.

They conclude that a higher consumption of milk in women and men is not accompanied by a lower risk of fracture and instead may be associated with a higher rate of death. 

Consequently, there may be a link between the lactose and galactose content of milk and risk, although causality needs be tested.

"Our results may question the validity of recommendations to consume high amounts of milk to prevent fragility fractures," they write. "The results should, however, be interpreted cautiously given the observational design of our study. The findings merit independent replication before they can be used for dietary recommendations."

Michaëlsson and colleagues raise a fascinating possibility about the potential harms of milk, says Professor Mary Schooling at City University of New York in an accompanying editorial. However, she stresses that diet is difficult to assess precisely and she reinforces the message that these findings should be interpreted cautiously.

"As milk consumption may rise globally with economic development and increasing consumption of animal source foods, the role of milk and mortality needs to be established definitively now," she concludes.

Source: BMJ-British Medical Journal

Global consumption an increasingly significant driver of tropical deforestation

The EU and China are the largest importers of carbon dioxide emissions linked to deforestation for the production of beef, soy, palm oil and timber between 2000-2009. The researchers have focused on seven countries (Argentina, Bolivia, Brazil, Paraguay, Indonesia, Malaysia and Papua New Guinea), all of which are major exporters of goods that contribute to deforestation. Credit: Center for Global Development

International trade with agricultural and wood products is an increasingly important driver of tropical deforestation. More than a third of recent deforestation can be tied to production of beef, soy, palm oil and timber. "The trend is clear, the drivers of deforestation have been globalized and commercialized," says assistant professor Martin Persson, Chalmers University of Technology.

In a report commissioned by US think-tank Center for Global Development (CGD) Martin Persson and colleagues in Linköping, Sweden, and Vienna, Austria, have investigated to which extent international trade in agricultural and silvicultural products drives deforestation in seven case countries: Argentina, Bolivia, Brazil, Paraguay, Indonesia, Malaysia and Papua New Guinea.

"From having been caused mainly by smallholders and production for local markets, an increasing share of deforestation today is driven by large-scale agricultural production for international markets. More than a third of global deforestation can be tied to rising production of beef, soy, palm oil and wood products," says Martin Persson.

"If we exclude Brazilian beef production, which is mainly destined for domestic markets, more than half of deforestation in our case countries is driven by international demand."

The research group has also analyzed the magnitude of the associated carbon dioxide emissions embodied in these trade flows. In total 1.7 billion tons of carbon dioxide emissions can be linked to the production of the analyzed commodities, with one third being embodied in commodity exports. The biggest recipients of these embodied carbon emissions are China and the EU. By elucidating the links between consumption and environmental impacts, the aim is to identify more effective measures to address tropical forest loss by targeting key commodities and countries.

"Another key trend is that more and more corporations have pledged to rid their supply chains from deforestation. Pushed by environmental organizations and seeing the risks of being associated with environmental destruction, companies like Unilever and McDonalds are pressuring their suppliers to stop expanding production on forest land," says Martin Persson.

It is no longer enough to just focus on the countries where deforestation happens and the potential policy measures available there, he adds.

"Today both public and private consumers, be it individuals or corporations, have the possibility to contribute to the protection of tropical forests by holding suppliers accountable for the environmental impacts of their production," Martin Persson concludes.

Source: Chalmers University of Technology

Ancient Europeans intolerant to lactose for 5,000 years after they adopted agriculture

Milk

By analysing DNA extracted from the petrous bones of skulls of ancient Europeans, scientists have identified that these peoples remained intolerant to lactose (natural sugar in the milk of mammals) for 5,000 years after they adopted agricultural practices and 4,000 years after the onset of cheese-making among Central European Neolithic farmers.

The findings published online in the scientific journal Nature Communications (21 Oct) also suggest that major technological transitions in Central Europe between the Neolithic, Bronze Age and Iron Age were also associated with major changes in the genetics of these populations.

For the study, the international team of scientists examined nuclear ancient DNA extracted from thirteen individuals from burials from archaeological sites located in the Great Hungarian Plain, an area known to have been at the crossroads of major cultural transformations that shaped European prehistory. The skeletons sampled date from 5,700 BC (Early Neolithic) to 800 BC (Iron Age).

It took several years of experimentation with different bones of varying density and DNA preservation for the scientists to discover that the inner ear region of the petrous bone in the skull, which is the hardest bone and well protected from damage, is ideal for ancient DNA analysis in humans and any other mammals.

According to Professor Ron Pinhasi from the UCD Earth Institute and UCD School of Archaeology, University College Dublin, the joint senior author on the paper, "the high percentage DNA yield from the petrous bones exceeded those from other bones by up to 183-fold. This gave us anywhere between 12% and almost 90% human DNA in our samples compared to somewhere between 0% and 20% obtained from teeth, fingers and rib bones."

For the first time, these exceptionally high percentage DNA yields from ancient remains made it possible for scientists to systematically analyse a series of skeletons from the same region and check for known genetic markers including lactose intolerance.

"Our findings show progression towards lighter skin pigmentation as hunter and gatherers and non-local farmers intermarried, but surprisingly no presence of increased lactose persistence or tolerance to lactose" adds Professor Pinhasi.

"This means that these ancient Europeans would have had domesticated animals like cows, goats and sheep, but they would not yet have genetically developed a tolerance for drinking large quantities of milk from mammals," he says.

According to Professor Dan Bradley from the Smurfit Institute of Genetics, Trinity College Dublin, co-senior author on the paper, "our results also imply that the great changes in prehistoric technology including the adoption of farming, followed by the first use of the hard metals, bronze and then iron, were each associated with the substantial influx of new people. We can no longer believe these fundamental innovations were simply absorbed by existing populations in a sort of cultural osmosis."

Source: University College Dublin